Give a Gift
DONATION INFORMATION
I would like to schedule this donation to occur
*
One Time
Weekly
Bi-Weekly
Monthly
Quarterly
Semi-annually
Annually
Start my donation on:
*
January
February
March
April
May
June
July
August
September
October
November
December
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
13th
14th
15th
16th
17th
18th
19th
20th
21st
22nd
23rd
24th
25th
26th
27th
28th
29th
30th
31st
2024
2025
$1,000
$330
$100
$32
Other $
(U.S. Currency)
MAKE MY GIFT TOWARD A CENTER
*
Select a Center
Area of Greatest Need
Bangor, ME
Boston-North, MA
Bridgeport, CT
Burlington, NJ
Canton, OH
Central Massachusetts - Worcester
Central New York
Central Pennsylvania - Harrisburg
Cincinnati, OH
Cleveland, OH
Columbus, OH
Dayton, OH
East Central Illinois - Danville
Great Lakes, MI
Greater Boston, MA
Hartford Area, CT
Hasbrouck Heights, NJ
Indianapolis, IN
Lancaster, PA
Lehigh Valley, PA
Madison Area, WI
Metropolitan Chicago
Milwaukee, WI
Nashua, NH
New York City, NY
Northfield, NJ
Northwest Illinois - Freeport
Norwood, OH
Pittsburgh, PA
Portland, ME
Reading, PA
Rhode Island
Rochester, NY
Scotch Plains, NJ
Seacoast, NH
Southeastern Michigan
Southeastern Ohio
Southern Illinois - Collinsville
Springfield, IL
Tenafly, NJ
Upper Wisconsin-Eau Claire
Upper Wisconsin-Superior
Waterbury, CT
Western Pennsylvania - New Castle
GIFT TYPE
Is this gift a tribute?
Yes
No
Type of tribute?
Please Select One
Memorial Gift
Honor Gift
Name of whom your gift is in memory/honor of:
Additional instructions:
500
characters left
PAYMENT INFORMATION
*
Credit Card or
Check/Debit
Card
Bank Account Transfer
(ACH)
Card Number
Security Code
(CVV2)
Expiration Date
1 - January
2 - February
3 - March
4 - April
5 - May
6 - June
7 - July
8 - August
9 - September
10 - October
11 - November
12 - December
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
Account Type
(U.S. Banks Only)
Checking
Savings
Account Number
Routing Number
YOUR INFORMATION
First Name
*
Last Name
*
Company
Title/Position
Billing Address
*
City
*
State
*
AL
AK
AS
AA
AE
AP
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Zip
*
U.S. Phone
(
)
-
Email
*
All donations provided to
Scottish Rite Charities
comply with U.S.
laws and regulations.